Agenda
CMS Long Term Care Journal – Urinary Incontinence, Volume II
Multimedia Satellite Broadcast
October 27, 2004
On October 27, 2004, 1:00-4:00 p.m. EDT, the Centers for Medicare & Medicaid Services will broadcast a three hour presentation via
satellite and Internet on the Clinical Aspects of Care for the Resident with Urinary Incontinence in Long Term Care Facilities. The
goal of this broadcast is to educate LTC surveyors and Providers on how to assess, prevent, manage and treat Urinary Incontinence
(UI).
This program will be mandatory for Regional Office and State Survey Agency LTC Surveyors
Time
1:00-1:05
1:05-1:40
Topic
Welcome and Introduction
Overview
Types and Causes of Urinary Incontinence in LTC
Residents
Presenter
Moderator
Thomas Hamilton, Director
Survey and Certification Group, CMSO
Linda Smith , RN, MSN, MBA, Nurse Consultant
Centers for Medicare and Medicaid Services
Joseph G. Ouslander, M.D., Professor
Director, Division of Geriatric Medicine and Gerontology
Chief Medical Officer, Wesley Woods Center of Emory
University
Director, Emory Center for Health in Aging
Diane Newman, RNC, MSN, CRNP, FAAN
Co-Director of the Penn Center for Continence and Pelvic Health
University of Pennsylvania Health System, Division of Urology
1:40-2:25
Assessment:
o
o
o
o
o
o
Physical Assessment
Other types (UA and PVR)
History and Bladder Records
Baseline examination and other tests
Assessment for Behavioral Programs
Assessment for use of an Indwelling Catheter
Joseph G. Ouslander, M.D., Professor
Director, Division of Geriatric Medicine and Gerontology
Chief Medical Officer, Wesley Woods Center of Emory
University
Director, Emory Center for Health in Aging
Diane Newman, RNC, MSN, CRNP, FAAN
Co-Director of the Penn Center for Continence and Pelvic Health
University of Pennsylvania Health System, Division of Urology
Mary H. Palmer, PhD, RNC, FAAN, Professor
The University of North Carolina at Chapel Hill
Helen W. and Thomas L. Umphlet Distinguished Professor in
Aging
Mikel Gray, PhD, CUNP, FAAN
Professor and Nurse Practitioner
University of Virginia
Department of Urology and School of Nursing
2:25-3:25
Urinary Incontinence PreventionManagement/Treatment:
o
o
o
o
o
o
o
Implementation of Behavioral Programs
Medication Therapy
Use of Absorbent Products and Toileting Devices
Urinary Track Infections
Catheter Related Complications
Skin Related Complications
Decline or lack of Improvement in Continence
Mary H. Palmer, PhD, RNC, FAAN, Professor
The University of North Carolina at Chapel Hill
Helen W. and Thomas L. Umphlet Distinguished Professor in
Aging
Joseph G. Ouslander, M.D., Professor
Director, Division of Geriatric Medicine and Gerontology
Chief Medical Officer, Wesley Woods Center of Emory
University
Director, Emory Center for Health in Aging
Diane Newman, RNC, MSN, CRNP, FAAN
Co-Director of the Penn Center for Continence and Pelvic Health
University of Pennsylvania Health System, Division of Urology
3:25-3:35
3:35-3:50
3:50-4:00
Innovations and Reference Tools
Live Q&A
Wrap-up and Next Steps
Closing
Mikel Gray, PhD, CUNP, FAAN
Professor and Nurse Practitioner
University of Virginia
Department of Urology and School of Nursing
Joseph G. Ouslander, M.D., Professor
Director, Division of Geriatric Medicine and Gerontology
Chief Medical Officer, Wesley Woods Center of Emory
University
Director, Emory Center for Health in Aging
Diane Newman, RNC, MSN, CRNP, FAAN
Co-Director of the Penn Center for Continence and Pelvic Health
University of Pennsylvania Health System, Division of Urology
Panel
Moderator
Moderator
Bios
Mikel L. Gray, PhD, RN, is a Professor of Nursing at the University of Virginia, School of Nursing. Dr. Gray is the University of
Virginia’s Appointed Chair of the School of Nursing Doctoral Program Admissions Committee.
Dr. Gray earned his Bachelor of Science degree in nursing from Vanderbilt University and his Master of Science degree in nursing at
the University of Virginia. Dr. Gray received his PhD from the College of Nursing at the University of Florida. He is a certified nurse
practitioner, and a fellow of the American Academy of Nursing.
Dr. Gray is the principal investigator of research on urodynamic testing, funded by the Society of Urologic Nurses and Associates. He
serves as a consultant for a clinical trial on motor urge urinary incontinence. Dr. Gray is also the co-investigator of a clinical trial
project on urge urinary incontinence, and the co-investigator of clinical trial research on the treatment of voiding dysfunction in
patients with multiple sclerosis.
Diane K. Newman, MSN, a certified nurse practitioner, is Co-Director of the PENN Center for Continence and Pelvic Health,
Division of Urology, University of Pennsylvania Medical Center, in Philadelphia. She has an appointment as an Instructor in the
School of Medicine at the University of Pennsylvania.
Ms. Newman received a Bachelor of Science degree in nursing from LaSalle University, and a Master of Science degree in nursing
from the University of Pennsylvania. She is certified as an adult nurse practitioner by the American Nurses Credentialing Center. She
is a fellow of the American Academy of Nursing.
Ms. Newman is currently serving as co-principal investigator on five studies on the treatment and management of urinary
incontinence, overactive bladder and erectile dysfunction. She was the co-chair of the 1996 Agency for Healthcare Research and
Quality Clinical Practice Guideline, Urinary Incontinence: Acute and Chronic Management. She is currently a member of the
Bladder Health Council of the American Foundation for Urologic Disease (AFUD).
Joseph G. Ouslander, M.D., is a Professor of Medicine and Nursing at Emory University in Atlanta, Georgia. He serves as the
Director of the Division of Geriatric Medicine and Gerontology, Chief Medical Officer of Wesley Woods Center, and Director of the
Emory Center for Health in Aging. At the Atlanta VA Medical Center, he serves as a research scientist and faculty member in the
Birmingham/Atlanta VA Geriatric Research, Education and Clinical Center, and the Geriatrics and Extended Care Service.
With the support of several National Institute on Aging, VA, Agency for Health Care Research and Quality, and Foundation grants,
Dr. Ouslander has published over 100 original research articles and book chapters, as well as edited special volumes on the topics of
geriatric urinary conditions and long term care quality. He has served as a consultant to numerous organizations and has been on
several national and international panels focusing on these issues. He is a co-author of Essentials of Clinical Geriatrics, Medical Care
in the Nursing Home, and an editor of Principles of Geriatric Medicine and Gerontology.
Dr. Ouslander graduated from Johns Hopkins University (BA), and from Case Western Reserve University School of Medicine (MD).
He is board certified in internal medicine and has a Certificate of Added Qualification in Geriatric Medicine from the American Board
of Internal Medicine. Dr. Ouslander has also been on the faculty of the UCLA School of Medicine and the Johns Hopkins School of
Medicine.
Mary H. Palmer, PhD, RNC, FAAN is Professor and the Helen W. and Thomas L. Umphlet Distinguished Chair in Aging at the
University of North Carolina Chapel Hill School of Nursing. She received her undergraduate and graduate degrees from the
University of Maryland and her PhD in Behavioral Sciences and Health Education from the Johns Hopkins University School of
Hygiene and Public Health.
Dr. Palmer was a fellow in the intramural research program of the National Institutes of Health for over 6 years before returning to
academia. She has conducted research, published, and lectured extensively on urinary incontinence in adults. Dr. Palmer is the author
of award wining books on urinary continence and co-edits the column, “Bladder Matters”, in the American Journal of Nursing.
Dr. Palmer is a member of the International Continence Society 3rd Consultation on Incontinence and the Nursing Section Editor of
the Journal of the American Geriatrics Society. Dr. Palmer is also a contributing editor to the American Journal of Nursing and serves
on the Editorial Board of Geriatric Nursing. Dr. Palmer is a Fellow in the American Academy of Nursing and the Gerontological
Society of America and certified in gerontological nursing by the American Nurses Association. She is the principal investigator of a
grant funded by the Health Resources and Services Administration, entitled “Improving the Care of Acutely Ill Elders”.